Wednesday, April 24, 2013

A tailored physiotherapy program improved self-reported functional outcomes and hip range of motion in patients undergoing hip resurfacing, say authors of a study published electronically ahead of print in April by the Clinical Rehabilitation journal.

The study was a randomized controlled trial with 6-, 16-, and 52-week follow-ups. It included 80 men with a median age of 56 who were listed for primary hip resurfacing surgery between 2009 and 2010. The authors, from the Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK, compared tailored postoperative physiotherapy programs with standard physiotherapy. They found that at 1 year, the mean (SD) Oxford Hip Score of the group using the tailored program was higher than the control group at 45 versus 39.6, respectively. In addition, 80% (32 of 40) of the intervention group fully met their self-selected goal compared with 55% (22 of 40) of the control group.

The authors concluded that the "study confirms that a tailored rehabilitation programme following Metal On Metal Hip Resurfacing Arthroplasty (MOMHRA) improves self-reported functional outcomes and quality of life compared with a traditional rehabilitation programme."